中药经筋综合辨证外敷治疗膝骨关节炎的临床研究

目的：探讨中药经筋综合辨证外敷治疗膝骨性关节炎的临床疗效。方法：采用随机对照研究方式，将120例单膝骨性关节炎患者分为治疗组和对照组，其中以经筋综合辨证外敷治疗膝骨性关节炎56例（治疗组），与通痹散、解毒散、消瘀散辨证治疗膝骨性关节炎55例（对照组）进行临床疗效对比。结果：2组患者治疗后VAS评分及WOMAC评分与治疗前比较均有下降，差异有统计学意义（P＜0．05）。治疗组能更有效的降低疼痛程度及改善关节活动功能，2组间差异具有统计学意义（P＜0.05），治疗组疗效优于对照组。结论：中药经筋综合辨证外敷治疗膝骨性关节炎疗效显著，值得临床推广应用。

Clinical study fo external application by TCM diffre entiation comprehensively reinfocr ement in treating knee osteoarthritis

Objective：To observe the clinical effect of external application by TCM differentiation comprehensively reinforcement on knee osteoarthritis （ KOA） .Methods：Chooses 120 patients of single knee osteoarthritis ,randomly divided the cases into a treatment group and a control group .56 cases of patients with knee osteoarthritis treated with external application by TCM differentiation comprehensively reinforcement （ treatment group ） , while 55 cases of patients with knee osteoarthritis treated with external application of Tongbi Power ,Xi-aoyu Power, Jiedu Power by TCM differentiation （control group）.Results：After treatment, the VAS score, Knee synovial thickness , joint effusion and the WOMAC score of the 2 groups were both decreased compared with treatment before .There was significant different be-tween the 2 groups（P〈0.05）.The treatment group could reduce pain , synovial thickness and joint effusion , improve joint activities func-tion more effectively than the control one , There was significant different between the 2 groups（P〈0.05）, and the teratment group was significant better than the control one .Conclusion：The external application by TCM differentiation comprehensively reinforcemenare signif -icantly effective in treating knee osteoarthritis , and it should be worth promoting .